{extend name='index/index' /}

{block name='main'}
<div id="tpl-echarts"></div>
<div class="tpl-content-wrapper">

    <div class="container-fluid am-cf">
        <div class="row">
            <div class="am-u-sm-12 am-u-md-12 am-u-lg-9">
                <div class="page-header-heading"><span class="am-icon-home page-header-heading-icon"></span> 表单 <small>Amaze UI</small></div>
                <p class="page-header-description">Amaze UI 有许多不同的表格可用。</p>
            </div>
            <div class="am-u-lg-3 tpl-index-settings-button">
                <button type="button" class="page-header-button"><span class="am-icon-paint-brush"></span> 设置</button>
            </div>
        </div>

    </div>

    <div class="row-content am-cf">


        <div class="row">

            <div class="am-u-sm-12 am-u-md-12 am-u-lg-12">
                <div class="widget am-cf">
                    <div class="widget-head am-cf">
                        <div class="widget-title am-fl">新增会员</div>
                        <div class="widget-function am-fr">
                            <a href="javascript:;" class="am-icon-cog"></a>
                        </div>
                    </div>
                    <div class="widget-body am-fr">

                        <form class="am-form tpl-form-line-form" action="{:url('vip_agent/Agent/doadd')}" method="post">
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">账号类型： <span class="tpl-form-line-small-title"></span></label>
                                <div class="am-u-sm-9">
                                    <select name="register" data-am-selected="{searchBox: 1}" style="display: none;">
                                        <!--<option value="1">会员</option>-->
                                        <!--<option value="2">代理商</option>-->
                                        <option value="3">终端</option>
                                    </select>

                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">手机号 <span class="tpl-form-line-small-title"></span></label>
                                <div class="am-u-sm-9">
                                    <input type="text" name="phonenumber" class="tpl-form-input"  placeholder="请输入11位手机号">
                                    <!--<small>请输入正确的手机号。</small>-->
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">密码 <span class="tpl-form-line-small-title"></span></label>
                                <div class="am-u-sm-9">
                                    <input type="password" name="password" class="tpl-form-input"  placeholder="请输入密码">
                                    <!--<small>请输入正确的手机号。</small>-->
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">确认密码 <span class="tpl-form-line-small-title"></span></label>
                                <div class="am-u-sm-9">
                                    <input type="password" name="repassword" class="tpl-form-input"  placeholder="请重新输入密码">
                                    <!--<small>请输入正确的手机号。</small>-->
                                </div>
                            </div>


                            <div class="am-form-group">
                                <div class="am-u-sm-9 am-u-sm-push-3">
                                    <button class="am-btn am-btn-primary tpl-btn-bg-color-success ">提交</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>



    </div>
</div>
{/block}